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INSTRUCTIONS FOR PATIENT FOR USING THE INHALER WITHOUT SPACER: Important: Follow instructions carefully.
Shake the inhaler well immediately before each use.
1. Testing your inhaler: If you are using the inhaler for the first time or if the inhaler has not been used for a minimum of seven days, "test spray" the inhaler. Remove the cap from the mouthpiece; the mouthpiece should be inspected for the presence of foreign objects before each use. Spray the inhaler 2 times into the air after shaking the device prior to each actuation.
2. Make sure the canister is fully and firmly inserted into the actuator.
3. Hold the inhaler upright with your thumb on the base. Place either one or two fingers on the top of the canister. Breathe out fully through your mouth expelling as much air from your lungs as possible. Thereafter, place the mouthpiece of the inhaler in your mouth between your teeth.
4. Close your lips around it (do not bite it) tilt your head slightly backwards. Start breathing in slowly through your mouth. As you breathe in steadily and deeply, press down the canister to release one puff.
5. While holding their breath, patients should take out the inhaler from their mouth and should continue holding their breath for 10 seconds or for as long as it is comfortable. Breathe out slowly.
6. Note: If the second puff is required wait for at least one minute and repeat steps 2 through 5 for each puff prescribed by your Physician. Rinse your mouth or gargle with water after inhaling your recommended dose. This is likely to reduce the soreness that may be caused by the drug. After use, replace the mouthpiece cover.
7. Practice in front of the mirror for the first few times. If you see 'mist' coming from top of the inhaler or sides of the mouth, this indicates failure of technique. Start again from Step 2.
8. For Children: Children should use the inhaler under adult supervision, as instructed by the Physician.
Cleaning: Clean the inhaler at least once in a week.
1. Gently pull the metal canister out of the plastic body of the inhaler. Remove the mouthpiece cover.
2. Rinse the plastic body and the mouthpiece cover in warm/running water.
3. Dry thoroughly. Avoid excess heat.
4. Replace the canister and the mouthpiece cover correctly.
Discard the inhaler along with the canister after using the labeled number of inhalations.
DO NOT PUT THE METAL CONTAINER IN WATER.
